Home of the Month Nomination Form

This form has been modified since it was saved. Please review all fields before submitting.

This is the place to nominate yourself or your neighbor for the City of Margate's Home of the Month Award. Fill in the boxes below, and click the submit button to enter into the contest. Be sure to notify your neighbor if you plan on nominating them.

Thanks for participating!

Nominating My Home*

Yes

No

Nominee's Name

Property Address

Your First Name

Your Last Name

Address1

Address2

City

State

Zip

Phone Number

Email Address

Do you have City liens on your property or do you owe any sums to the City?

Yes

No

How long have you lived in this home for?

Upload your picture*

Approximate date of photograph*

Approximate date of photograph

Approximate date of photograph

Today's Date*

Today's Date

Electronic Signature Agreement

I understand that upon submission, this photograph, and all of the copy and trademark rights associated with the photograph, becomes the property of the City of Margate. I hereby grant permission to the City of Margate to use this photograph of my residence at their discretion with no compensation or credit to me, or to any party with an interest in the subject residence. I have read all of the attached program information and guidelines and agree to them.
By selecting the I Accept button below, I agree that my initials (printed above) serve as my digital signature, authenticate this writing and will have the same force and effect as the use of a manual signature.

I agree.

Electronic Signature

The City of Margate is a public entity subject to Chapter 119 of the Florida Statutes concerning public records. Under Florida law, e-mail addresses are public records. The information you are providing is subject for release in response to a public records request. All e-mail messages sent and received are captured by our server and retained as public records.